Individual provider Active NPI

Vernon D Reynolds, D.O.

  • Anesthesiology Physician
  • Columbus, OH
National Provider Identifier
1174600852
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
34006761R Issued in OH
Practice address
5336 Firebush LN
Columbus, OH 43235-5554
Phone
(614) 457-8376
Fax
(888) 315-7905
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34006761R OH Primary

Addresses

Primary practice location

5336 Firebush LN
Columbus, OH 43235-5554

Mailing address

5336 Firebush LN
Columbus, OH 43235-5554
Phone (614) 457-8376

Other identifiers 1

IdentifierTypeStateIssuer
2129584MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000436 OH Practitioner - Anesthesiology 6406744655 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Ohio University, College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Ohio Anesthesia IncGroup PAC ID 1658896675, 28 clinicians
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

4105 Emerald Pkwy
Dublin, OH 43016-3323
Phone (380) 898-9000

715 S Taft Ave
Fremont, OH 43420-3237
Phone (419) 332-7321

Hospital & facility affiliations

  • Memorial Hospital Hospital, Fremont, OH, CCN 360156
  • Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34006761ROHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radius Anesthesia of Ohio, LLC Anesthesiology CurrentSince Jun 15, 2021 Accepting new patients
First Step Recovery Center CurrentSince Nov 27, 2016 Accepting new patients
Premier Anesthesia of Ohio LLC Anesthesiology CurrentSince Nov 13, 2015 Accepting new patients
First Step Recovery Center CurrentSince Nov 27, 2016 Accepting new patients
Somc Medical Care Foundation, Inc. Anesthesiology CurrentSince Aug 24, 2023 Accepting new patients
Joseph E Valli, D.C., Inc CurrentSince Mar 9, 2016 Accepting new patients
Promedica Central Physicians CurrentSince Jun 18, 2018 Accepting new patients
Promedica Central Physicians CurrentSince Jun 18, 2018 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Aug 24, 2023 Accepting new patients
Southwestern Recovery Center, LLC CurrentSince Mar 1, 2018 Accepting new patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
Vituity-Ohio Anesthesia Inc Anesthesiology CurrentSince Aug 18, 2025 Accepting new patients
Wood Anesthesia & Pain Treatment, LLC Anesthesiology CurrentSince Jul 12, 2024 Accepting new patients
Southwestern Recovery Center, LLC CurrentSince Mar 1, 2018 Accepting new patients
Eastside Anesthesia Group Anesthesiology Past Accepting new patients
Anesthesia Associates of Southern Ohio, Inc. Anesthesiology Past Accepting new patients
Consultants in Anesthesiology, Inc Anesthesiology Past Accepting new patients
Cornerstone Project, LLC PastSince Jul 1, 2018 Accepting new patients
Licking Memorial Professional Corporation Anesthesiology Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

2350 Briggs Rd
Columbus, OH 43223
Phone (614) 274-8885

4124 Linden Ave
Ste 100
Dayton, OH 45432
Phone (937) 522-0961

241 Paddock Ct
Delaware, OH 43015
Phone (740) 362-8686

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

4461 Broadway
Ste 150
Grove City, OH 43123
Phone (614) 594-2141

1420 Chillicothe St
Portsmouth, OH 45662
Phone (740) 354-8824

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1649 Brice Rd
Ste C
Reynoldsburg, OH 43068
Phone (614) 300-5878

1653 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 300-5878

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Interoperability endpoints

  • Direct secure messaging: vreynolds2895333@direct.trinity-health.org

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1174600852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 FIREBUSH LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355554",
            "telephone_number": "614-457-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 FIREBUSH LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355554",
            "telephone_number": "614-457-8376",
            "fax_number": "888-315-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "VERNON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "34006761R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2129584",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.